John K. Czerwein, Jr., M.D., an orthopedic spine surgeon, has been named Chief of the Division of Orthopedics at Our Lady of Fatima Hospital in North Providence, Rhode Island.
John K. Czerwein, Jr., M.D. New Chair at Our Lady of Fatima Hospital

Dr. Czerwein graduated from the Chicago Medical School and completed a residency in orthopedic surgery at Montefiore Medical Center in New York and his orthopedic spine fellowship at the Warren Alpert Medical School at Brown University. Dr. Czerwein, a clinical assistant professor at Brown, replaces Dr. David Moss who served as Chief for the last seven years. Dr. Czerwein is associated with the Center for Orthopedics in Johnston, Rhode Island.
Dr. Czerwein told OTW, “Throughout my life, including educational and career roles I’ve sought out opportunities to lead, collaborate and find solutions that benefit the purpose of others. Hard work and various jobs throughout my life have provided me with the experience I will need to Chair the Orthopaedic department at a busy, community hospital.”
“My first steps will include to continue strengthening my relationships with the Orthopaedic, surgical and executive teams at Our Lady of Fatima. It’s through collaboration that we will be able to provide continued quality care, and also determine how we can service our patient population.
“For more than nine years Dr. Czerwein has been been providing The Center for Orthopaedics patients with the highest level of care,” said Dr. A. Robert Buonanno, Chairman of Surgery at Our Lady of Fatima Hospital. “His leadership, easy-going personality and dedication to quality care make him the right person to fill this position.”

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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